MedicaidReimbursementMedium impact
5160-12-06 - Reimbursement: private duty nursing services. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Pediatrics, Internal Medicine·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated reimbursement rules for private duty nursing services, effective January 1, 2024. This is a recent amendment to existing policy 5160-12-06 that affects how private duty nursing is billed and reimbursed under Ohio Medicaid.
Action Required
Effective January 1, 2024: Billing teams providing private duty nursing services must review updated Ohio Medicaid reimbursement guidelines for policy 5160-12-06. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing requirements and rate changes. Verify current billing practices align with new reimbursement rules.